NPI | 1669414306 |
---|---|
Former Legal Business Name | FREEDOM VISION SURGERY CENTER LLC |
Entity Type | Organization |
Authorized Contact | KIM LYNCH Administrator 818-788-2346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000916) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2016-10-19 |